biostudies-literatureMateo-Arriero INational Health and Medical Research Council4564-4571https://www.ebi.ac.uk/biostudies/studies/S-EPMC10955769biostudies-literatureUnknown19(10)<h4>Introduction</h4>Dementia is highly prevalent in older Aboriginal Australians, with several modifiable risk factors. Currently, there is limited evidence on how to prevent cognitive decline in Aboriginal Australians.<h4>Methods</h4>Based on our Theory of Change (ToC) framework, we co-developed the Dementia risk management and prevention program for Aboriginal Australians (DAMPAA) aged over 45 years in partnership with Aboriginal community-controlled organizations (ACCOs) and Elders. Qualitative data were collected through ACCO staff workshops, Elders yarning, and governance groups to inform the protocol. Additionally, we conducted a small pilot study.<h4>Results</h4>Expected DAMPAA ToC outcomes are: (1) improved daily function, (2) better cardiovascular risk management, (3) falls reduction, (4) improved quality of life, and (5) reduced cognitive decline. Attendance enablers are social interaction, environment, exercise type/level, and logistics.<h4>Discussion</h4>Findings suggest that ToC is an effective collaborative approach for co-designing Aboriginal health programs.Alzheimer's & dementia : the journal of the Alzheimer's AssociationCo-design of dementia prevention program for Aboriginal Australians (DAMPAA).PMC109557691151782Flicker LLalovic AEtherton-Beer CBessarab DEdgill PDowden GSmith KMateo-Arriero IKickett CThompson SCox KLWoods DPestell CFMarkey LfalseCo-design of dementia prevention program for Aboriginal Australians (DAMPAA).<h4>Introduction</h4>Dementia is highly prevalent in older Aboriginal Australians, with several modifiable risk factors. Currently, there is limited evidence on how to prevent cognitive decline in Aboriginal Australians.<h4>Methods</h4>Based on our Theory of Change (ToC) framework, we co-developed the Dementia risk management and prevention program for Aboriginal Australians (DAMPAA) aged over 45 years in partnership with Aboriginal community-controlled organizations (ACCOs) and Elders. Qualitative data were collected through ACCO staff workshops, Elders yarning, and governance groups to inform the protocol. Additionally, we conducted a small pilot study.<h4>Results</h4>Expected DAMPAA ToC outcomes are: (1) improved daily function, (2) better cardiovascular risk management, (3) falls reduction, (4) improved quality of life, and (5) reduced cognitive decline. Attendance enablers are social interaction, environment, exercise type/level, and logistics.<h4>Discussion</h4>Findings suggest that ToC is an effective collaborative approach for co-designing Aboriginal health programs.2023-01-01T00:00:00Z2023 Oct2025-04-22T13:03:22.559Z2025-04-06T00:28:59.294ZS-EPMC109557693693319110.1002/alz.13032